Active NPI
Joanne Festa, PHD.
- Clinical Neuropsychologist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 014394-1
- Practice address
- 425 W 59TH St
Suite 6a
New York, NY 10019-8022 - Phone
- (212) 523-8060
- Fax
- (212) 523-6962
- NPI assigned
- Dec 18, 2006
- Last updated
- Jan 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 014394-1 | NY | Primary |
| Psychologist | 103T00000X | 014394-1 | NY | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 014394-1 | NY | |
| Clinical Psychologist | 103TC0700X | 014394-1 | NY |
Addresses
Primary practice location
425 W 59TH St
Suite 6a
New York, NY 10019-8022
Mailing address
425 W 59TH St
Suite 6a
New York, NY 10019-8022
Phone (212) 523-8060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02153657 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014394-1 | NY | MD | Physical Therapist |
| 014394 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients | |
| R.P.P., Inc. | Clinical | Past | Accepting new patients |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients | |
| Department of Neurology Professional Services Group/Slrhc | Past | Accepting new patients |
Locations
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
425 W 59th St
New York, NY 10019
Phone (212) 376-3180
425 W 59th St
Ste 6A
New York, NY 10019
Phone (212) 523-6521
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
5 E 98th St
Fl 7
New York, NY 10029
Phone (212) 241-0002
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Neurology Department of Mount Sinai
- Neurological Surgery Physician
- New York, NY
- NPI 1558627844
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Neurology Physician
- New York, NY
- NPI 1811974330
-
- Clinical Psychologist
- Jackson Heights, NY
- NPI 1306933767
-
dba Department of Neurology
- Neurology Physician
- New York, NY
- NPI 1306899455
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1821151457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W 59TH ST",
"address_2": "SUITE 6A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100198022",
"telephone_number": "212-523-8060",
"fax_number": "212-523-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W 59TH ST",
"address_2": "SUITE 6A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100198022",
"telephone_number": "212-523-8060",
"fax_number": "212-523-6962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FESTA",
"first_name": "JOANNE",
"name_prefix": "Dr.",
"credential": "PHD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "014394-1",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "014394-1",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "014394-1",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "014394-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02153657",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.